Individual
GINNOVIA RENA DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 CHISHOLM TRL, JACKSONVILLE, NC 28546-9289
(910) 459-5514
Mailing address
302 CHISHOLM TRL, JACKSONVILLE, NC 28546-9289
(910) 219-0967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15201
NC
Other
Enumeration date
08/22/2022
Last updated
08/24/2022
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